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Smartphones Are Driving Clinical Transformation
Session #81, February 12, 2019
Howard Landa MD, VP of Clinical Informatics, Sutter Health
Gregg Malkary, Managing Director, Spyglass Consulting Group
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Gregg Malkary, Managing Director, Spyglass Consulting Group
Has no real or apparent conflicts of interest to report.
Howard Landa MD, VP of Clinical Informatics, Sutter Health
Has no real or apparent conflicts of interest to report.
Conflict of Interest
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Examine
Limitations of existing clinical processes & tools
Identify
Why hospitals focused on enterprise-wide deployments
Analyze
How Smartphones are driving clinical transformation
Explore
Future Smartphone growth opportunities
Agenda
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LO1: Define what smartphone-based unified communications is and how
hospitals are using these solutions to achieve Quadruple Aim and potential
ROI models to justify large scale investments
LO2: Identify how smartphone-based communications are driving clinical
transformation and can address mission- and patient-critical
communications requirements of clinical and non-clinical mobile workers
LO3: Recognize how to address and overcome the associated pitfalls in
operationalizing a large-scale health system-wide deployment across
different care settings
LO4: Discuss future growth opportunities integrating solutions with
evidence-based clinical pathways and care management programs
including support of bedside documentation and clinical surveillance
LO5: Recognize how hospitals can leverage an evidence-based approach
using RTLS; intelligent rules-based engine and predictive analytics to
reduce alert, alarm and notification fatigue at point of care
Learning Objectives
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Conducted
Nationwide end user market study
Interviewed
400 US-based thought leaders
Explored
Clinical communications inefficiencies
Mobile communications usage models
Barriers for widespread adoption
Footnote
Spyglass Consulting, Trend in Clinical Communications & Collaboration, 2018
Research Methodology
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Market Opportunity
US Dept of Labor Statistics
950K physicians, 3M RNs, 5M allied professionals
Joint Commission
Root cause of 70% treatment delays & sentinel events
Caused by breakdown in communications
Hospital IT imperative
Evaluate next generation communication solutions
Footnotes
US Dept of Labor Statistics, 2019, https://www.bls.gov/
Joint Commission, Sentinel Event Alert and Infographic, Sept 2017
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Communications Problems
Communications
Overload
Lack of standardized
processes
Antiquated tools
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Enterprise-Wide Deployments
Deployed
47% large-scale Smartphone deployments
Identified
48% compelling ROI models
Evaluating
62% mobile documentation tools
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Mobile EHR Messaging Tools
Ease of support
EHR integration
Clinical workflow integration
Attractive licensing
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Clinical Transformation
Developed
73% mobile technology strategies
Leveraged
68% middleware to orchestrate patient care
Optimized
64% clinical workflow processes to support
patient centered care models
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Optimized
89% wireless network for mobile voice and
data
Deployed
73% MDM solutions to protect hospital
assets and data
Expanded
93% BYOD programs to support mobile
workers
Infrastructure Upgrades
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Emerging Opportunities
Structured clinical communications
Real-time location services (RTLS)
Real-time clinical surveillance
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HOWARD LANDA MD
VP OF CLINICAL INFORMATICS
SUTTER HEALTH
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Howard Landa, MD
Pediatric GU/Clinical Informatics for > 20 years
Vice President of Clinical Informatics
Sutter Health
24 Acute Hospitals,
12000+ Physicians
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CMIO’s perspective
Clinical Collaboration at Scale
Healthcare Technology in Evolution
Current Clinical State
IT Challenges
Communication Integration
Emerging opportunities
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Healthcare Technology in Evolution
EHR evolution
Documentation (Electrified paper/word processor)
Communication/Reference
Information/Decision SupportClinical transformation
Care/Reimbursement Evolution “In the dayvs. Today
Single physician Team based care
Always available Complex/Varying Schedules
LOS as needed Discharge ASAP
Pagers/Desk phone EHR, Texting, HIE Mobility
Simple Alerts Complex Alert Management
Limited tools set Complex and Evolving Tech…
But Smartphones are ubiquitous
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Smartphone-based communications are supporting current
but provide opportunities to transformation practice
Insecure Texting/Tools
The (other) elephant in the room
Difficult to monitor and control
Efficient and straightforward
EHR
Standard for clinical information
Support of workflow and clinical process transformation
Mobility
Secure texting
Promises, Promises (Panaceas?)
CCC: Current clinical state
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Real Challenges for IT
Security is another major challenge
Organizational vs BYOD
Bandwidth / Support / Security
Human Resource issues
How many is too many?
Size does matter (with respect to use case)
Benefits, Real and Imagined
Communication/Information/Workflow
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CCC Integration
Integration is how communication evolves to tools that
support the quadruple aim.
Use(full?) cases
Stand alone (Communication, Reference)
Interfaced (Information, Alerts)
Integrated (Workflow tool)
Assimilated (Camera, Voice Recognition, Adjunct)
Organizational size and complexity are both
challenges and opportunities
Somewhere in the Middle(ware)
Alarm Management Clinical Decision Support (CDS),
Is secure chat + EHR mobile app Middleware?
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Emerging Opportunities
Healthcare Technology in
Evolution
Current state
IT Challenges
Communication
Integration
Early adopter,
Mainstream or Laggard
Strategy (HW/SW)
Leveraging Size and
complexity challenges
New technology to support integrated clinical workflows,
surveillance, evidence-based pathways and bedside care
management:
AI/ML, RPM, PROM, NLP, “One Ring”
IOT: RTLS, Visual, Spatial (Gyro), Haptics
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Conclusions
Hospital IT imperative
Evaluate next generation comm solutions
Hospital IT making significant investments
Purchasing large quantities of Smartphones
Deploying mobile unified communications
Optimizing workflow processes
Hospital IT addressing operational challenges
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Additional Information
Gregg Malkary, Managing Director
Spyglass Consulting Group
(650) 575-9682
gmalkary@spyglass-consulting.com
www.spyglass-consulting.com
Howard Landa MD
VP Clinical Informatics
Sutter Health
landah@sutterhealth.org